• Curr Opin Anaesthesiol · Jun 2020

    Review

    Prehabilitation: the anesthesiologist's role and what is the evidence?

    • Enrico Maria Minnella, Miquel Coca-Martinez, and Francesco Carli.
    • Department of Anesthesia, McGill University Health Center, Montreal General Hospital, 1650 Avenue Cedar, Montréal, QC H3G 1A4, Canada.
    • Curr Opin Anaesthesiol. 2020 Jun 1; 33 (3): 411-416.

    Purpose Of ReviewSurgery poses major threats to functional independence. Prehabilitation is a preoperative conditioning intervention that aims to prevent or attenuate surgery-related functional decline and its consequences. The present review is to summarize most recent evidence on the effectiveness of prehabilitation on key topics in cancer care, such as perioperative functional capacity, surgical and oncologic outcomes.Recent FindingsRecent studies predominantly focus on functional outcomes, demonstrating a positive effect of prehabilitation on perioperative physical fitness.SummaryPrehabilitation prevents functional decline associated with major cancer surgery. Evidence is still needed to support its effectiveness in relation to postoperative complication, length of hospital stay, tumor progression, response to medical treatment, and survival. Ongoing and future research is essential to prompt the role of perioperative medicine in cancer care.

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